Surgery Medical News about Thoracostomy

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Iatrogenic Horner syndrome after tube thoracostomy
Journal of Pediatric Surgery, 10/26/09

Baird R et al. – The authors present a case of a 13–month–old boy with a left–sided pneumonia and an associated pleural effusion for which a chest tube was inserted. His respiratory and septic parameters improved, but he was noted to have ptosis, miosis, and anhydrosis of the left side. These resolved in the days after chest tube removal. Although tube thoracostomy is a common procedure in surgical practice, little is written about the potential for injury to the ipsilateral sympathetic chain.

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